ABSTRACT
BACKGROUND: The development of de novo neoplasms in solid organ transplantation is multifactorial. In addition to common factors in the general population, there are specific factors of the disease related or not to chronic renal failure and factors inherent to the transplant itself such as immunosuppression. OBJECTIVE: The aim of this study is to describe the case of a kidney recipient with a retroperitoneal teratoma, his satisfactory treatment, and a brief literature review. METHODS: The case of 59-year-old male patient who received a living donor transplant in 2011, with conventional immunosuppression, graft protocol biopsy per year reported as normal, and follow-up without eventualities is described. The patient's symptoms began in December 2020 with abdominal pain resistant to analgesics, asthenia, and adynamic. Contrast tomography showed a retroperitoneal tumor 25.8 × 16.9 × 19 cm; tumor markers: alpha fetoprotein, 2.16 ng/mL; cancer antigen 19-9, 524.5 UI/ml; and carcinoembryonic antigen, 67.53 ng/mL. Resection of a 25 × 25 × 20 cm retroperitoneal tumor between the vena cava and aorta with 2 L of mucus content was performed. The patient was discharged from the hospital on the second day, with uresis 1 mL/kg/h, and at one month with adequate renal function, and 0.94 mg/dL of serum creatinine. A definitive histologic report was compatible with retroperitoneal mature teratoma. CONCLUSION: Primary retroperitoneal mature teratoma is rarely evidenced in adult patients, usually asymptomatic, and the definitive diagnosis always is established after histologic evaluation. Surgical resection is the main treatment with the complete removal of the tumor and long-term monitoring is needed because of the risk of malignancy.
Subject(s)
Retroperitoneal Neoplasms , Teratoma , Adult , Male , Humans , Middle Aged , Retroperitoneal Neoplasms/surgery , Retroperitoneal Neoplasms/pathology , Teratoma/surgery , Retroperitoneal Space , Tomography, X-Ray Computed , Kidney/pathologyABSTRACT
En el presente trabajo se reportan las respectivas altitudes para mosquitos de la tribu Anophelini (Diptera: Culicidae: Anophelinae) del Municipio Gran Sabana, estado Bolívar, Venezuela. Se señalan nuevos registros de altitudes en el país para Chagasia ablusa Harbach, Chagasia bonneae Root y doce especies del género Anopheles. La Gran Sabana cubre una superficie de cerca de 18.000 km², con altitudes que varían de 750 m a 1.450 m. La mayor parte de las tierras altas de la misma, presenta un clima característico de bosques húmedos sub-montanos siempre verdes, con temperaturas promedio anual que oscilan entre 18ºC y 24ºC, con un promedio de precipitación anual entre 2.000 y 3.500 mm, y un corto periodo seco que ocurre entre los meses de Diciembre y Marzo.
Altitude records for mosquitos in the tribe Anophelini (Diptera: Culicidae: Anophelinae) from the Gran Sabana municipality, Bolívar State, Venezuela are reported. New altitude registers include Chagasia ablusa Harbach, Chagasia bonneae Root and 12 species of Anopheles. The Gran Sabana is an undulating grass-dominated upland savanna covering an area close to 18,000 km², with altitudes ranging from 750 m to 1,450 m. Most of the Gran Sabana highlands have a humid submontane climate, with average annual temperatures ranging between 18ºC and 24ºC, and average annual rainfall between 2,000 and 3,500 mm. It has a very short dry season occurring from December to March.
ABSTRACT
Cervical carcinoma is a disease that has had a major impact in all social spheres contributing to high rates of morbidity and mortality worldwide, including malignant neoplasms that develop in the lower fibromuscular portion of the uterus. Objective : to identify the knowledge about cervical cancer in women included in the Early Cervical Cancer Detection Program, belonging to the Office No. 4 of the Popular Council Arriete - Ciego Montero. Methodology : a sample of 93 participants was selected from a universe of 233 patients included in the program, which represents 40%. The data were obtained mainly through the application of a survey to the population under study. Results : the 36-40 age group prevailed. 33.3% of the patients surveyed had a High school diploma. 81% of respondents reported having received information about this disease. Having multiple sexual partners was identified as the most common risk factor for 93.5% of patients. Conclusions : There is no information about the age of some patients included in the Early Cervical Cancer Detection Program, nor about the periodicity of the Pap test, the main symptoms, risk factors and methods of prevention of cervical cancer pathology.
El cáncer cervico-uterino, o carcinoma del cuello uterino, es una enfermedad que ha provocado gran impacto en todas las esferas sociales contribuyendo a las altas tasas de morbilidad y mortalidad en el mundo entero, incluye las neoplasias malignas que se desarrollan en la porción fibromuscular inferior del útero. Objetivo Identificar los conocimientos sobre cáncer cérvico-uterino en las mujeres comprendidas dentro del programa de detección precoz del mismo, pertenecientes al Consultorio N° 4 del Consejo Popular Arriete - Ciego Montero Metodología De un universo de 233 pacientes incluidas dentro del programa se seleccionó una muestra de 93 participantes, la cual representa el 40 %. Los datos fueron obtenidos fundamentalmente mediante la aplicación de una encuesta a la población objeto de estudio. Resultados Predominó el grupo de edad de 36 a 40 años, el 33.3 % de las pacientes encuestadas presentan un nivel de escolaridad de duodécimo grado, el 81 % de las participantes encuestadas refirió haber recibido información sobre esta enfermedad, el tener múltiples compañeros sexuales fue identificado como el factor de riesgo más frecuente por el 93.5 % de las pacientes. Conclusiones Existe desconocimiento en algunas pacientes sobre el grupo de edades de las pacientes comprendidas dentro del Programa de Detección Precoz de Cáncer Cérvico-uterino, la periodicidad de la realización de la prueba de Papanicolaou, los principales síntomas, factores de riesgo y métodos de prevención de esta patología.
